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  • Original Article

    Reference Ranges of Fetal Cerebral Lateral Ventricle Parameters by Ultrasonography

    Revista Brasileira de Ginecologia e Obstetrícia. 2016;38(9):428-435

    Summary

    Original Article

    Reference Ranges of Fetal Cerebral Lateral Ventricle Parameters by Ultrasonography

    Revista Brasileira de Ginecologia e Obstetrícia. 2016;38(9):428-435

    DOI 10.1055/s-0036-1593410

    Views1

    Abstract

    Objectives

    This study was done to evaluate the normal fetal cerebral lateral ventricle dimensions with transabdominal ultrasonography. The atrial width (AW), ventricle-tochoroid measurement (V-C), ventricle-to-hemisphere ratio (VHR), and combined anterior horn measurement (CAHM) were taken.

    Methods

    This was a cross-sectional study involving 400 normal singleton pregnant subjects whose gestational ages were between 14 and 40 weeks. Transabdominal sonography was performed to obtain the values of the fetal cerebral lateral ventricle (FCLV) parameters. Data were reported as mean standard deviation (SD) for continuous variables. The degrees of correlation between FCLV parameters and the estimated gestational age (EGA) were obtained using Pearson's correlation. Regression equations were used to generate the reference limits for the FCLV measurements.

    Results

    The values of AW, V-C measurements and CAHM increased with advancing gestation. The mean values of the AW, V-C and CAHM from 14 to 40 weeks increased from 6.60 0.94 mm to 9.75 0.07 mm (R2 = 0.114), 0.80 0.00 mm to 1.90 0.14 mm (R2= 0.266), and 6.95 0.06 mm to 23.07 4.02 mm (R2= 0.692) respectively, while the mean VHR decreased from 61.20 1.60% to 42.84 2.91% (R2 = 0.706) over the same period.

    Conclusion

    The AW, V-C, and CAHM increase, while VHR decreases with advancing gestation.

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    Reference Ranges of Fetal Cerebral Lateral Ventricle Parameters by Ultrasonography
  • Original Article

    Uterine Artery Doppler Velocimetry of Uterine Leiomyomas in Nigerian Women

    Revista Brasileira de Ginecologia e Obstetrícia. 2017;39(9):464-470

    Summary

    Original Article

    Uterine Artery Doppler Velocimetry of Uterine Leiomyomas in Nigerian Women

    Revista Brasileira de Ginecologia e Obstetrícia. 2017;39(9):464-470

    DOI 10.1055/s-0037-1604489

    Views2

    Abstract

    Objective

    To describe the blood flow velocities and impedance indices changes in the uterine arteries of leiomyomatous uteri using Doppler sonography.

    Methods

    This was a prospective, case-control study conducted on 140 premenopausal women with sonographic diagnosis of uterine leiomyoma and 140 premenopausal controls without leiomyomas. Pelvic sonography was performed to diagnose and characterize the leiomyomas. The hemodynamics of the ascending branches of both main uterine arteries was assessed by Doppler interrogation. Statistical analysis was performed mainly using non-parametric tests.

    Results

    The median uterine volume of the subjects was 556 cm3, while that of the controls was 90.5 cm3 (p < 0.001). The mean peak systolic velocity (PSV), end-diastolic velocity (EDV), time-averaged maximum velocity (TAMX), time-averaged mean velocity (Tmean), acceleration time (AT), acceleration index (AI), diastolic/systolic ratio (DSR), diastolic average ratio (DAR), and inverse pulsatility index (PI) were significantly higher in the subjects (94.2 cm/s, 29.7 cm/s, 49.1 cm/s, 25.5 cm/s, 118 ms, 0.8, 0.3, 0.6, and 0.8 respectively) compared with the controls (54.2 cm/s, 7.7 cm/s, 20.0 cm/s, 10.0 cm/s, 92.0 ms, 0.6, 0.1, 0.4, and 0.4 respectively); p < 0.001 for all values. Conversely, the mean PI, resistivity index (RI), systolic/diastolic ratio (SDR) and impedance index (ImI) of the subjects (1.52, 0.70, 3.81, and 3.81 respectively) were significantly lower than those of the controls (2.38, 0.86, 7.23, and 7.24 respectively); p < 0.001 for all values.

    Conclusion

    There is a significantly increased perfusion of leiomyomatous uteri that is most likely due to uterine enlargement.

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